论文部分内容阅读
目的 :观察中西医结合治疗心肌缺血的临床疗效。方法 :辩证分型为阳虚痰阻、瘀血阻滞、气虚血弱和阴虚血瘀四型 ;治以益气活血、强心复脉为主 ;阳虚痰阻以栝萎薤白半夏合丹参饮加减 ,瘀血阻滞以血府逐瘀汤加减 ,气虚血弱以灸甘草汤合归脾丸化载 ,阴虚血瘀以生脉散与补心丹加减 ,西药为低分子右旋糖酐加丹参、黄芪注射液 ,加激化液静滴。结果 :痊愈 18例 ,占 3 2 .7% ,好转 3 5例 ,占 63 .6% ,总有效率为 96.4% ,无效 2例 ,占 3 .6%。结论 :中西医结合辩证治疗心肌缺血选用温阳、活血 ,行气 ,化痰药物至关重要。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of myocardial ischemia. Methods: Dialectical type of yang phlegm blockage, blood stasis, qi deficiency and yin deficiency blood stasis type; governance to qi and blood circulation, strong heart complex pulse-based; yang phlegm resistance wilt wilt white Pinellia Combined with Danshen drink addition and subtraction, blood stasis block Xuefuzhuyu decoction, Qi weakness to moxibustion with licorice soup and spleen pill contained, Yin and blood stasis to Shengmai San and Buxin Dan addition and subtraction, Western medicine is low Molecular dextran plus Salvia, Astragalus injection, plus intravenous infusion. Results: 18 cases recovered, accounting for 32.7%, 35 cases improved, accounting for 63.6%, the total effective rate was 96.4%, 2 cases were ineffective, accounting for 3.6%. Conclusion: The combination of TCM and Western medicine for the treatment of myocardial ischemia select yang yang, promoting blood circulation, qi and phlegm drugs are essential.